Abstract:

Objective　To explore the effect applying the blended teaching mode based on the outcome-based education (OBE) and multi-assessment in the practice teaching of obstetrics. Methods　The experimental control method was used. Ninety five-year program students majoring in clinical medicine of Sun Yat-sen University who practiced in Department of Obstetrics, Third Hospital Affiliated to Sun Yat-sen University from August 2021 to August 2022 were selected as the research objects. They were divided into an experimental group and a control group by the envelope random method, with 45 in each group. There were 27 males and 18 females in the experimental group; they were (22.24±0.57) years old. There were 25 males and 20 females in the control group; they were (22.24±0.88) years old. The control group adopted the traditional offline practice teaching method of teacher teaching and ward practice. The experimental group adopted the blended teaching mode based on OBE concept, offline teaching combined with WeChat Rain classroom online teaching. In the mid-term evaluation of practice, the two groups' students were evaluated by the Mini-Clinical Evaluation Exercise (Mini-CEX), Direct Observation of Procedure Skills (DOPS), and Clinical Communication Skill Scale. At the end of practice, they were finally evaluated by the comprehensive assessment. The teaching effects of the two groups were compared. The measurement data were analyzed by t test, and the count data by χ² test or the Fisher's exact probability method. Results　In the mid-term evaluation of practice, the excellent rate of Mini-CEX in the experimental group was higher than that in the control group[15.6% (7/45) vs. 0; P<0.05]; the score of Clinical Communication Skill Scale in the experimental group was higher than that in the control group [(91.93±3.60) vs. (85.13±3.62); t=-8.938, P<0.001]. In the final evaluation, the score of the comprehensive examination in the experimental group was higher than that in the control group [(82.15±4.14) vs. (80.18±4.46); t=-2.177, P<0.05]. Conclusion　In the practice teaching of obstetrics, the application of the blended teaching mode based on OBE concept and multi-assessment has a good teaching effect on the training of clinical diagnosis and treatment thinking ability and communication ability.

Key words:

Outcome-based education, Multi-assessment, Blended teaching method, Obstetrics, Practice

摘要：

目的　探讨基于成果导向教育（outcome-based education，OBE）理念联合多元化评价的混合式教学在产科实习教学中的应用效果。方法　本研究采用试验对照方法，选择2021年8月至2022年8月在中山大学附属第三医院产科实习的中山大学临床医学专业五年制的学生作为研究对象，按照信封随机法将其分为试验组和对照组，每组45名。其中，试验组男27名，女18名，年龄（22.24±0.57）岁，对照组男25名，女20名，年龄（22.24±0.88）岁。对照组采用以教师讲授结合病房实践的传统线下实习教学方法，试验组采用基于OBE理念的混合式教学方法，即线下教学结合微信雨课堂线上教学。两组学生均在实习中期进行多元化形成性评价，即迷你临床演练评估量表（Mini-Clinical Evaluation Exercise，Mini-CEX）联合操作技能直接观察法（Direct Observation of Procedure Skills，DOPS），以及临床沟通能力量表评价，实习结束时进行终结性评价（即出科综合性考核），比较两组的教学效果。计量资料采用t检验，计数资料采用χ²检验或Fisher确切概率法。结果　实习中期评价：试验组Mini-CEX的优异率高于对照组［15.6%（7/45）比0］（P<0.05），试验组临床沟通能力量表评分高于对照组［（91.93±3.60）分比（85.13±3.62）分］（t=-8.938，P<0.001）。终结性评价：试验组的出科综合考核平均成绩高于对照组［（82.15±4.14）分比（80.18±4.46）分］（t=-2.177，P<0.05）。结论　在产科实习教学中，OBE理念联合多元化评价的混合式教学方法，对实习医生临床诊治思维能力、沟通能力的培养具有良好的教学效果。

关键词:

成果导向教育, 多元化评价, 混合式教学, 产科, 实习